been discussed and provide context for all of us. moderate all three panels today is maggie fox. she was the managing editor of healthcare and technology at national journal she was the global health and science editor for reuters. she is -- has also served as a correspondent for a variety of news organizations. she covered tenement in china and is one of the few people to have interviewed gadhafi. dr. len nichols of george mason university and the honorable gil wilensky, senior fellow at project hope. >> good morning. thank you for being here. i would like to thank the panel for being here. these are three of the deepest thinkers on health policy issues in the country. i am representing the shallow end of the scale here to balance it out. so you can see the stage is tipping pretty hard. [laughter] i think dr. james madara set a good tone in his opening comments. that is a good way to get into the discussion, to ask about the points he raised, especially the str, the doc fix, and transition into ways we can get physicians, patients and insurers more on board with improving medicare.